Development of a vulnerability profile of the psychological sequelae of Hurricane

制定飓风心理后遗症的脆弱性概况

• 批准号: 9113131
• 负责人: EMANUELA TAIOLI
• 金额: $ 17.52万
• 依托单位: ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2015-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9113131
• 关键词: Development; vulnerability; profile; psychological; sequelae

DESCRIPTION (provided by applicant): On October 28th Hurricane Sandy hit the East Coast of the US, affecting the lives and wellbeing of more than 50 million people. The greater New York City area was heavily struck by the hurricane. The psychological devastation of the hurricane, along with the mental health consequences of being displaced, major loss of property, flooding, mold, prolonged lack of heat, water and power, are unknown. Estimates can be drawn from anecdotal reports from health providers, first responders, hospitals and shelters, however, reliable data is lacking in terms of the prevalence of psychological health effects. The current study aims to understand the psychological impact of this hurricane in an effort to inform current intervention and future prevention efforts. This application represents a partnership between a large hospital system, the North Shore-LIJ Health System (NSLIJHS), and the Nassau County Department of Human Services which is the agency that oversees all mental health agencies in the county. NSLIJHS consists of 16 hospitals spanning across Nassau county, Suffolk county, Queens, Manhattan and Staten Island, encompassing areas most affected by Hurricane Sandy. The goals of the current project include establishing associations between exposure to the hurricane and various mental health symptoms and diagnoses while also defining subgroups of individuals who were most vulnerable to mental health effects due to the hurricane. We will accomplish this using multiple methodologies including survey data from a cohort of at least 500 individuals who reside in Nassau, Suffolk, Queens or Richmond (Staten Island) counties as well as using Emergency Department (ED) data from the 14 EDs that are part of the NSLIJHS. Further, we will also investigate the impact of various displacement strategies on the mental health of residents using the survey data and we will examine the psychological impact of the hurricane on those who indicate that they are first responders. Ultimately, our research will result in two significant products. The first is a vulnerability profle of those most affected by Hurricane Sandy in terms of psychological health and wellbeing. This profile will be accompanied by tables and other user-friendly charts and diagrams for local government agencies, mental health agencies, emergency preparedness agencies, health care workers, and the NSLIJHS (among others) to use in order to continue to target current intervention strategies for those highly affected by the hurricane and most vulnerable to its effects as well as to inform emergency preparedness efforts by indicating areas and groups to prioritize in terms of mental health intervention during future natural disasters. Second, our work will produce a Hurricane Sandy cohort and database that can be tracked and followed over time. The database will be available to researchers and other key stakeholders in order to examine the long-term impact of hurricane exposure, to continue to provide important information as to emergency preparedness for future hurricanes and other natural disasters, as well as for community groups and those in the scientific emergency preparedness community to leverage additional funding for future research and intervention endeavors. Ultimately, we see this work as an integral first step toward the development of a NSLIJHS ED syndromic surveillance system as well as a first step towards the development of an Emergency Preparedness Research Center that will provide important and timely information to community groups and health care providers throughout the region. The goals of this proposal are feasible and reasonable because of the strong community linkages that already exist by all members of the research and Project Advisory Board team. We consulted with many community groups including members of government agencies, hospital administrators, community coalitions and network members among many others in the development of this project. Further, we have already confirmed its feasibility in the community given the successful pilot study that was conducted with 107 participants. We plan to work collaboratively with key stakeholders including our community partners during each step of the project from implementation through dissemination and translation. Our community partners are key to the efficacy of the project especially in terms of the dissemination of our research findings, vulnerability profile and cohort database. We will use multiple methods and media to effectively disseminate to key groups on both local and national levels. Further, given that one of the co-PIs is the Commissioner of the Department of Human Services and has strong connections to government agencies including emergency preparedness groups, mental health agencies and first responders throughout the affected region, we will easily be able to translate our findings into public health practice.

描述(申请人提供)：10月28日，飓风桑迪袭击了美国东海岸，影响了5000多万人的生活和福祉。大纽约市地区受到飓风的重创。飓风造成的心理破坏，以及流离失所、重大财产损失、洪水、霉菌、长期缺乏供暖、供水和电力的精神健康后果，都是未知的。可以从卫生服务提供者、急救人员、医院和收容所的轶事报告中得出估计，但缺乏关于心理健康影响流行率的可靠数据。目前的研究旨在了解这场飓风的心理影响，努力为当前的干预和未来的预防工作提供信息。这一申请代表了一家大型医院系统、北岸-里杰卫生系统(NSLIJHS)和拿骚县公共服务部之间的合作伙伴关系，拿骚县公共服务部是监督该县所有精神卫生机构的机构。NSLIJHS由16家医院组成，横跨拿骚县、萨福克县、皇后区、曼哈顿和斯塔滕岛，涵盖受飓风桑迪影响最严重的地区。目前项目的目标包括建立暴露于飓风与各种精神健康症状和诊断之间的联系，同时确定因飓风而最容易受到精神健康影响的个人亚群。我们将使用多种方法来实现这一点，包括来自拿骚、萨福克、皇后区或里士满(斯塔滕岛)县的至少500人的调查数据，以及来自NSLIJHS的14个急诊部(ED)的数据。此外，我们还将利用调查数据调查各种流离失所策略对居民心理健康的影响，并研究飓风对那些表示自己是第一反应者的心理影响。最终，我们的研究将产生两个重要的产品。首先是那些受飓风桑迪影响最大的人在心理健康和福祉方面的脆弱性。这份简介将附有表格和其他便于用户使用的图表和图表，供地方政府机构、精神卫生机构、应急准备机构、卫生保健工作者和NSLIJHS(除其他外)使用，以便继续针对那些受飓风高度影响和最容易受到影响的人制定当前干预战略，并通过指明在未来自然灾害期间心理健康干预的优先领域和群体，为应急准备工作提供信息。二、我们的工作 将产生一个飓风桑迪队列和数据库，可以随着时间的推移进行跟踪和跟踪。该数据库将提供给研究人员和其他主要利益攸关方，以检查飓风暴露的长期影响，继续提供有关未来飓风和其他自然灾害的应急准备的重要信息，以及社区团体和科学应急准备社区的成员，以便为未来的研究和干预努力利用额外的资金。最终，我们认为这项工作是朝着开发NSLIJHS ED综合征监测系统迈出的不可或缺的第一步，也是朝着发展应急准备研究中心迈出的第一步，该中心将向整个地区的社区团体和医疗保健提供者提供重要和及时的信息。这项建议的目标是可行和合理的，因为研究和项目咨询委员会小组的所有成员已经建立了强有力的社区联系。在这个项目的开发过程中，我们咨询了许多社区团体，包括政府机构成员、医院管理人员、社区联盟和网络成员等。此外，鉴于有107名参与者进行了成功的试验研究，我们已经确认了这项计划在社会上的可行性。我们计划在该项目从实施到传播和翻译的每个步骤中与包括我们的社区合作伙伴在内的主要利益攸关方合作。我们的社区合作伙伴是该项目成效的关键，特别是在传播我们的研究结果、脆弱性概况和队列方面。 数据库。我们将利用多种方式和媒体，在地方和国家层面向重点群体有效传播。此外，鉴于其中一名共同PIS是公共服务部专员，并与整个受影响地区的应急准备小组、精神卫生机构和急救人员等政府机构有密切联系，我们将很容易将我们的调查结果转化为公共卫生实践。